PS2.277Living together the patient's life

Author(s): 
Vesna Tabak, B Zivkovic Duvnjak, M Vrcic Keglevic
(1) Family Practice Vesna Tabak, Zagreb, Croatia
(2) Familiy Practice  Branka Zivkovic Duvnjak, Silba, Croatia
(3) Foundation for the Development of Family Medicine in Croatia, Zagreb, Croatia
Corresponding author: Dr Vesna Tabak, Foundation for   The Development of Family Medicine in Croatia, Familiy Practice, Zagreb, Croatia.
E-mail: vesna.tabak1@zg.t-com.hr
Text: 
Background & Aims: Longitudinality is the main characteristic and tool in General Practice. The aim of this presentation is to share with colleagues GPs experience in living, 20-year long patient’s life.
Case Presentation: When I met him for the first time, he was 50-year healthy men, coming for some administrative reasons. A few years later, he came because of insomnia; his daughter-in-low died and his son remained alone with two small children. He and his wife was the main source of support and help to him. It was hard time for patient, sometimes being depressed, developed peptic ulcer and needed support. Some years later, his wife phoned that he was at hospital, having cerebrovascular attack (except overweight, no risk factors).
Recovery was successfully; he lost 15 kilos, and returned to work. Once, he appeared bringing invitation to me for exhibition; he started painting, very much enjoining. The grand-children were already at school-ages, doing well and son was in happy love-relation. Some years later, he was retired, enjoining in paintings and travelling. Physically inactive, he developed some joint’s pains, and after one longer journey, deep vain thrombosis.
As other men in his age, he checked-up prostate-specific-antigen (PSA) and it was at the upper-normal limits. Although, PSA was checked once more, he appeared once with unexplained pains and metastatic-prostate cancer was diagnosed. It was again hard time for him and his family, needed support. In the mean-time, he had traffic-accident with serial costal fractures. He recovered successfully, but the cancer was not responding. Nowadays, I am in his home once per week, following him in his palliative phase.
Conclusion: This patient is „normal“ to ordinary GPs, but once again, remain us how many enjoyments and sorrow we experienced in living the life together with them.